Pharmacy Prior Authorization & Specialty Medication Access Specialist
Medcruit →Pharmacy Prior Authorization & Specialty Medication Access Specialist at Medcruit is a contract role based in Remote · United States-231 (remote). The listing asks for 0–1 yrs of experience. Listed skills: Pharmacy prior authorization. It was published on 13 August 2026 and was open at last check.
| Role | Pharmacy Prior Authorization & Specialty Medication Access Specialist |
|---|---|
| Company | Medcruit |
| Location | Remote · United States-231 (remote) |
| Employment type | Contract |
| Experience asked | 0–1 yrs |
| Skills listed | Pharmacy prior authorization |
| Published | 13 August 2026 |
| Status | Open at last check |
Pharmacy Prior Authorization & Specialty Medication Access Specialist
Hourly Contract
Remote – United States
$75/hour
About the Role
We are seeking experienced Pharmacy Prior Authorization and Specialty Medication Access Specialists to evaluate AI tools designed to automate pharmacy benefit management and specialty drug authorization workflows.
The role requires strong knowledge of drug formularies, step therapy, payer prior authorization criteria, and specialty medication access.
Responsibilities
- Process and manage prior authorization requests for specialty medications, biologics, and high-cost pharmaceuticals across commercial, Medicare Part D, and Medicaid payers.
- Review clinical documentation and pharmacy benefit criteria to determine medical necessity for specialty drug authorizations.
- Evaluate AI-generated pharmacy prior authorization recommendations for accuracy, completeness, and payer compliance.
- Coordinate with prescribers, specialty pharmacies, and payers to obtain timely medication authorizations.
- Manage appeals for denied pharmacy authorizations, including peer-to-peer requests and exception processes.
- Navigate payer formularies, step therapy requirements, and specialty drug coverage policies.
- Track authorization status, approval rates, and denial trends to identify process improvement opportunities.
- Ensure compliance with payer-specific pharmacy benefit requirements and CMS Part D guidelines.
- Annotate AI outputs and provide structured feedback to support AI training datasets.
Requirements
- 5+ years of experience in pharmacy prior authorization, specialty medication access, or pharmacy benefit management.
- Deep knowledge of specialty drug formularies, step therapy protocols, and payer PA criteria across commercial and government payers.
- Experience with specialty pharmacy platforms and pharmacy benefit management (PBM) systems.
- Familiarity with Medicare Part D coverage determination and exception processes.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to evaluate clinical documentation and AI-generated outputs.
Preferred Qualifications
- Certified Pharmacy Technician (CPhT) or Certified Prior Authorization Professional (CPAP) credential.
- Experience with hub services and patient assistance programs for specialty medications.
- Background in specialty pharmacy, infusion services, or oncology/rheumatology drug access.
- Familiarity with AI tools and comfort evaluating AI-generated pharmacy content.
- Experience with manufacturer copay assistance and patient access programs.
Why Participate?
- Contribute to the development of AI systems in healthcare.
- Gain exposure to AI workflows in pharmacy benefit management and specialty medication access.
- Work on projects focused on improving healthcare AI and patient access to therapies.
Contract Details
- Position: Hourly Contract
- Location: Remote – United States
- Compensation: $75/hour
- Engagement: Independent contractor
- Schedule: Flexible
- Payment: Weekly
- H1-B/STEM OPT: Not supported
- Projects may be extended, shortened, or concluded early based on needs and performance.
Create a free OnJob profile to apply and see your AI match score before you apply. · Posted 13 Aug 2026.
Pharmacy Prior Authorization & Specialty Medication Access Specialist at Medcruit — questions answered
What does the Pharmacy Prior Authorization & Specialty Medication Access Specialist role at Medcruit pay?
Medcruit does not publish a salary on this Pharmacy Prior Authorization & Specialty Medication Access Specialist listing, so OnJob shows no figure for it rather than an estimate. For what this role pays across the market, the OnJob salary guides aggregate the live listings that do disclose pay.
Is the Pharmacy Prior Authorization & Specialty Medication Access Specialist role at Medcruit remote?
Yes — Medcruit advertises this Pharmacy Prior Authorization & Specialty Medication Access Specialist role as remote, tied to Remote · United States-231, and it is listed as contract work. Remote terms come from the employer's own posting, so confirm the expected working hours, timezone and any on-site days with Medcruit before you apply.
What skills does the Pharmacy Prior Authorization & Specialty Medication Access Specialist role at Medcruit require?
The Pharmacy Prior Authorization & Specialty Medication Access Specialist at Medcruit listing names Pharmacy prior authorization. Those are the skills the employer put on the posting itself, so they are the ones worth matching in your profile and covering first in an interview.
How much experience do you need for the Pharmacy Prior Authorization & Specialty Medication Access Specialist role at Medcruit?
Medcruit asks for 0–1 yrs of experience on this Pharmacy Prior Authorization & Specialty Medication Access Specialist posting, alongside Pharmacy prior authorization. Employers commonly consider candidates slightly under a stated band when the listed skills line up.
Is the Pharmacy Prior Authorization & Specialty Medication Access Specialist role at Medcruit still open?
The Pharmacy Prior Authorization & Specialty Medication Access Specialist posting at Medcruit was open at OnJob's last check of the employer's careers page, having been published on 13 August 2026. OnJob re-checks source listings on each build and marks a role closed once it disappears, but listings can close without notice, so the employer's own page is the final word.
How do you apply for the Pharmacy Prior Authorization & Specialty Medication Access Specialist role at Medcruit?
Apply to the Pharmacy Prior Authorization & Specialty Medication Access Specialist at Medcruit role through OnJob with a free profile: OnJob scores your fit against the listing, shows the skills lowering that score, and submits an ATS-ready profile. Creating a profile is free and needs no card.
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